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General NPI Number Information
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NPI Number | 1679983662
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Entity Type | Organization
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Legal Business Name | CITYWIDE HOUSECALLS, LLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 8035 E R L THORNTON FWY STE 424
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City | DALLAS
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State | TX
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Zip | 75228-7069
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Country | US
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Telephone | 972-808-7541
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Fax | 888-227-0925
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Provider Business Mailing Address
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Address Line | 8035 E R L THORNTON FWY STE 424
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City | DALLAS
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State | TX
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Zip | 75228-7069
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Country | US
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Telephone | 972-808-7541
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Fax | 888-227-0925
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Authorized Official
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Title or Position | OWNER
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Name | DAVID CORIA
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Credential |
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Telephone | 972-904-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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